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Dianne M Gordon, LICSW
Clinical Social Worker in Coon Rapids, Minnesota
NPI 1154544096

Dianne M Gordon is a Clinical Social Worker based in Coon Rapids, MN and is specialized in Clinical. Dianne M Gordon practices in Coon Rapids, MN and has the professional credentials of LICSW. The NPI Number for Dianne M Gordon is 1154544096 and holds a License No. 7835 (Minnesota).

The current practice location address for Dianne M Gordon is 11427 Hanson Blvd Nw, Coon Rapids, MN and can be reached out via phone at 763-754-1531 and via fax at 763-754-3155. You can also correspond with Dianne M Gordon through the mailing address at 11427 HANSON BLVD NW, COON RAPIDS, MN - 55433-3719 (mailing address contact number: 763-754-1531).

Location: 11427 Hanson Blvd Nw, Coon Rapids, MN, 55433-3719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154544096
Provider Name
Dianne M Gordon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
11427 Hanson Blvd Nw, Coon Rapids, MN, 55433-3719
Phone Number
763-754-1531
Fax Number
763-754-3155
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00775155900 05 MN
35976 01 MN HEALTH PARTNERS
401G6AN 01 MN BCBS
6201201 01 MN MEDICA UBH
institution
Provider Business Practice Location Address Details
Address
11427 Hanson Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-3719
Phone Number
763-754-1531
Fax Number
763-754-3155
person
Provider Business Mailing Address Details
Address
11427 Hanson Blvd Nw
City
Coon Rapids
State
Minnesota
Zip
55433-3719
Phone Number
763-754-1531
Fax Number
763-754-3155
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
7835 (Minnesota)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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